The practice has prompted backlash from patients like and groups representing medical professionals and hospitals that say prior authorization can interfere with treatment, cause medical provider burnout, and increase administrative costs.
Power to the Patients debuts Super Bowl PSA with Jelly Roll, Lainey Wilson
A new PSA out of Power to the Patients features rapper Jelly Roll and country music star Lainey Wilson calling for healthcare price transparency during Super Bowl LVIII.
Insurance doesn’t always cover hearing aids for kids
Former Olympic gymnast Mary Lou Retton spoke out last week on the NBC “Today” show about what she said was a rare pneumonia that almost killed her and resulted in an expensive, monthlong hospital stay.
Woman petitions health insurer after company approves — then rejects — her infusions
For more than a decade, Sally Nix has suffered from autoimmune diseases, chronic pain, and fatigue, as well as a condition called trigeminal neuralgia.
In New Year, all immigrants in California may qualify for Medicaid regardless of legal status
The copay accumulator case took yet another turn last week, with plaintiffs filing an appeal and a brief arguing that the government must enforce a recent court ruling.
Doctors with histories of big malpractice settlements have found a new home in the insurance industry
Doctors working for health insurers can rule on 10,000 or more requests for care a year. At least a dozen were hired by major insurance companies after being disciplined by state medical boards or making multiple or outsized malpractice payments.
Representatives propose ban on insurers charging doctors a fee to be paid electronically
After a ProPublica investigation examined how giant insurers and their intermediaries are imposing fees on doctors and hospitals for electronic payment, a bipartisan group of lawmakers has introduced a bill to end the practice.
HHS appeals circuit court’s rejection of ‘21 copay accumulator rule